Individual provider Active NPI

Sarah Ann Mitchell, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1710853239
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G187465 Issued in IA
Practice address
3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone
(563) 207-8932
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G187465 IA Primary

Addresses

Primary practice location

3375 Lake Ridge Dr
Dubuque, IA 52003-7864

Mailing address

3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone (563) 207-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110000750 IA Practitioner - Nurse Practitioner 1951891704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statera LLCGroup PAC ID 3476950056, 5 clinicians

Practice addresses (Care Compare)

3375 Lake Ridge Dr
Dubuque, IA 52003-7864
Phone (563) 207-8932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G187465IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statera LLC CurrentSince Nov 4, 2025 Accepting new patients

Locations

3375 Lake Ridge Dr
Dubuque, IA 52003
Phone (563) 207-8932

3375 Lake Ridge Dr
#H
Dubuque, IA 52003
Phone (563) 207-8932

Interoperability endpoints

  • Direct secure messaging: sarah.mitchell.1@17282.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1710853239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 LAKE RIDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037864",
            "telephone_number": "563-207-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 LAKE RIDGE DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037864",
            "telephone_number": "563-207-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G187465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.